Active NPI
Bartlomiej A Pruszak, PT
- Physical Therapist
- Dover, NH
National Provider Identifier
1023228590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1913
- Practice address
- 1 Waldron CT
Dover, NH 03820-3354 - Phone
- (603) 742-7832
- Fax
- (603) 743-1695
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1913 | NH | Primary |
Addresses
Primary practice location
1 Waldron CT
Dover, NH 03820-3354
Mailing address
102 Oakhill Rd.
Barrington, NH 03825
Phone (603) 540-3560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023228590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 OAKHILL RD.",
"city": "BARRINGTON",
"state": "NH",
"postal_code": "03825",
"telephone_number": "603-540-3560",
"fax_number": "603-664-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WALDRON CT",
"city": "DOVER",
"state": "NH",
"postal_code": "038203354",
"telephone_number": "603-742-7832",
"fax_number": "603-743-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUSZAK",
"first_name": "BARTLOMIEJ",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "1913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.